- Trinity Health (Waterloo, IA)
- …services based on complex treatment plans. Coordinates with the patient, physician , insurance company, and pharmaceutical company to complete the required ... within one (1) year of hire. Understanding of basic billing and coding . **Additional Qualifications (nice to have)** Bachelor's degree or advanced certification or… more
- Grifols Shared Services North America, Inc (Research Triangle Park, NC)
- …budgeting process for market access customer segment . Support reimbursement, coding , and coverage-related responsibilities for Medicare Part B, Centers for Medicare ... and Medicaid (CMS) Healthcare Common Procedure Coding System (HCPCS), and American Medical Association (AMA) Current Procedural Terminology (CPT) . Support with… more
- Pfizer (Groton, CT)
- …to regulatory requirements, while contributing to best practices for coding workflows, version control, and comprehensive documentation to support reproducibility ... in R and/or Python for data analysis and modeling following coding best practices, including version control, structured workflows, documentation, and… more
- Centene Corporation (Harrisburg, PA)
- …to improve HEDIS measures and provides education for HEDIS measures and coding . Supports the implementation of quality improvement interventions and audits in ... as a liaison and member advocate between the member/family, physician and facilities/agencies. + Acts as the face of...practices in appropriate HEDIS measures, and HEDIS ICD-10 /CPT coding in accordance with NCQA requirements. + Assesses provider… more
- Hudson Headwaters Health Network (Queensbury, NY)
- …versus continued involvement in care. + Supervise and is listed as collaborating physician for APC's. + All providers are expected to maintain authorized provider ... patients. + Meets or exceed Network standards for productivity, chart maintenance and coding accuracy. + Participates in rotation of nighttime pager call coverage in… more
- Veterans Affairs, Veterans Health Administration (Milwaukee, WI)
- …Assesses patients for indications/contraindications. Discusses the assessment with the physician /requesting provider for the purpose of developing the overall ... with administrative activities including, but not limited to, assigning Healthcare Procedure Coding System (HCPCS) coding of pedorthic devices to facilitate… more
- CDPHP (Latham, NY)
- …for a rewarding career. Established in 1984, CDPHP is a physician -founded, member-focused, and community-based not-for-profit health plan that offers high-quality ... the incumbent will utilize and interpret Claims Operations Policies and Procedures, coding methodologies, Plan contract language, riders, and schedules in order to… more
- Health Advocates Network (Phoenix, AZ)
- …of leading healthcare employers nationwide. Our clients range from independent physician practices to national healthcare systems and insurance providers. We are ... 2+ years of recent medical billing experience required - Recent OB/GYN coding experience required - Certified Professional Coder (CPC) or Registered Health… more
- UCHealth (Aurora, CO)
- …to patients. Collaborates with physicians, nursing staff, ancillary departments, and coding staff to ensure clinical documentation is compliant, complete and ... of mortality. Conducts follow up reviews for responses to physician queries. Serves as a resource to physicians and...as a resource to physicians and staff. Works with coding staff to assure documentation of diagnoses and comorbidities… more
- Guthrie (PA)
- …supervision of clinical coders who perform compliance audits of clinical documentation, coding , and billing. Education, License & Cert: Bachelor's degree, BS or BA ... years in compliance in a health care organization * Experience in conducting coding and compliance audits and developing corrective action plans helpful * Ability to… more